Dancing to Our Own Tune: Understandings of Advanced Nursing Practice in British Columbia

Pauly, Bernadette; Schreiber, Rita; MacDonald, Marjorie; Davidson, Heather; Crickmore, Jane; Moss, Lesley; Pinelli, Janet; Regan, Sandra; Hammond, Carolyn

doi:10.12927/cjnl.2004.16346

Cited by 20 publications

(19 citation statements)

References 10 publications

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“…The literature refers to the importance of establishing professional identity and role clarity to ensure effective utilization of NPs (Bryant‐Lukosius et al. 2004; Pauly et al. 2004; Bailey, Jones, and Way 2006).…”

Section: Resultsmentioning

confidence: 99%

The power and politics of collaboration in nurse practitioner role development

Burgess

Purkis

2010

Nursing Inquiry

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This health services study employed participatory action research to engage nurse practitioners (NPs) from two health authorities in British Columbia, Canada, to examine the research question: How does collaboration advance NP role integration within primary health-care? The inquiry was significant and timely because the NP role was recently introduced into the province, supported by passage of legislation and regulation and introduction of graduate education programs. In separate and concurrent inquiry groups, the NPs discussed their practice patterns, role development progress and understanding of collaboration and role integration. The inquiry revealed the political nature of the NP role and the extent to which NPs relied on collaborative relations at all levels of the health system to advance role integration. Given that NP role development is still at an early stage in this province, as well as other provinces in Canada, this study provides important insights into the power and politics of role development, and offers direction for future role advancement.

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Section: Resultsmentioning

confidence: 99%

The power and politics of collaboration in nurse practitioner role development

Burgess

Purkis

2010

Nursing Inquiry

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“…The CNS and NP roles share certain characteristics such as clinical specialization, the use of in‐depth nursing knowledge, an expanded practice where competencies outside the usual scope of practice are employed and a focus on the advancement of the profession and its values of holistic, health‐focused, patient‐centred care (Bryant‐Lukosius and DiCenso 2004; Hamric 2005). The domains of APN practice include clinical, research, leadership, teaching, collaboration and change agent (Brown 1998; Sidani and Irvine 1999; Pauly et al. 2004).…”

Section: Advanced Practice Nursingmentioning

confidence: 99%

“…The extension into other areas of practice has been achieved through a complex delegation of tasks using protocols, medical directives and drug lists (CNA 2005). Pauly et al. (2004, 55) assert that the key distinction is the ‘degree to which practice is seen to expand within the discipline itself or extend outside nursing into other disciplines.’ In the Pauly et al.…”

Section: Apn and The Np Role In Canadamentioning

confidence: 99%

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Praxis and the role development of the acute care nurse practitioner

Kilpatrick

2008

Nursing Inquiry

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Acute care nurse practitioner roles have been introduced in many countries. The acute care nurse practitioner provides nursing and medical care to meet the complex needs of patients and their families using a holistic, health-centred approach. There are many pressures to adopt a performance framework and execute activities and tasks. Little time may be left to explore domains of advanced practice nursing and develop other forms of knowledge. The primary objective of praxis is to integrate theory, practice and art, and facilitate the recognition and valuing of different types of knowledge through reflection. With this framework, the acute care nurse practitioner assumes the role of clinician and researcher. Praxis can be used to develop the acute care nurse practitioner role as an advanced practice nursing role. A praxis framework permeates all aspects of the acute care nurse practitioner's practice. Praxis influences how relationships are structured with patients, families and colleagues in the work setting. Decision-makers at different levels need to recognize the contribution of praxis in the full development of the acute care nurse practitioner role. Different strategies can be used by educators to assist students and practitioners to develop a praxis framework.

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“…For instance, within medicine, the development of clinician scientist models highlights the complementarity of clinical and academic roles (Hede, 2008). Within nursing, the role of the Advanced Practice Nurse (APN) has facilitated the development of nursing knowledge and the ultimate advancement of the profession (Kilpatrick, 2008), with the domains of APN practice encompassing clinical and research leadership, teaching, and collaboration (Brown 1998;Pauly et al, 2004;Sidani & Irvine, 1999).…”

Section: Introductionmentioning

confidence: 99%

Strategies for Research Development in Hospital Social Work

McNeill

Nicholas

2012

Research on Social Work Practice

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Objectives: This article identifies salient components in the advancement of social work research leadership within health care. Method: Using tenets of a modified retrospective case study approach, processes and outcomes of social work research progression at a pediatric hospital are reviewed. Results: Capacity-building processes were implemented. These processes generally corresponded with clinical, research, and administrative priorities and strategically aligned with social work aims of evidencebased practice and research leadership. Elements contributing to improved capacity include clarity of vision, palatable funding models, and the infusion of PhD-trained researchers within the clinical setting. Conclusions: This case study argues for social work to be proactive knowledge leaders. Such an aim, however, inherently requires deliberate shepherding, including strategies to advance the profession.

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Dancing to Our Own Tune: Understandings of Advanced Nursing Practice in British Columbia

Cited by 20 publications

References 10 publications

The power and politics of collaboration in nurse practitioner role development

The power and politics of collaboration in nurse practitioner role development

Praxis and the role development of the acute care nurse practitioner

Strategies for Research Development in Hospital Social Work

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